Top Warning Signs of Feeling Heaviness in the Pelvic Area

Experiencing pressure or a sudden sensation of heaviness in the pelvic region can be an alarming experience for many women. Many patients describe the sensation as “carrying around a bowling ball.”  It prompts questions about the underlying causes and whether it warrants immediate medical attention. You might wonder if this discomfort will resolve independently or if it necessitates contacting your healthcare provider.

Let’s cover some potential reasons behind pelvic heaviness and pressure. By gaining insight into these common concerns, you can empower yourself with knowledge to better understand your body and make informed decisions regarding your health. So, let's explore the intricacies of pelvic discomfort, shedding light on what may be occurring within your body and how best to address it.

If visits to gynecologists or obstetricians haven't yielded answers, the pain may stem from an underdiagnosed vascular condition known as pelvic chronic venous insufficiency or pelvic congestion syndrome.

Sometimes, feelings of heaviness in the pelvic region can be caused by factors that don't necessarily cause significant concern. One common reason is temporary bloating or gas buildup in the intestines, which can create a sensation of pressure in the pelvic area. Similarly, mild muscle strain or fatigue from physical activity, such as exercise or prolonged standing, can lead to temporary pelvic discomfort.

Additionally, hormonal fluctuations during the menstrual cycle can sometimes cause a sensation of heaviness in the pelvis without indicating a severe issue. For some patients, dietary factors like consuming spicy or heavy foods can contribute to temporary pelvic discomfort.

Listening to your body and monitoring any changes is essential, but these types of discomfort often resolve independently without intervention. However, if symptoms persist or worsen, it's always a good idea to consult a healthcare professional for further evaluation and guidance.

What Could Be Causing Heaviness in My Pelvic Region?

It's essential to pay attention to your body and seek medical advice if you experience a heavy feeling in your pelvic region that is persistent, severe, or accompanied by other concerning symptoms.  

Fibroids

A fibroid is a benign muscular tumor that develops within the walls of the uterus. Heavy menstrual bleeding, frequent urination, and intense pelvic pressure or pain are some of the primary symptoms of fibroids.

Women with larger fibroids may experience general discomfort or sharp pain in the lower abdomen, and as the tumors grow larger, they can manifest as hard lumps in the stomach.

How Do I Know If I Have Fibroids?

It is estimated that 40% to 60% of American women will develop fibroids at some point in their lives. In most cases, these growths are too small to cause any symptoms. However, fluctuations in hormone levels can directly affect the size and rate of growth of fibroids. Hormonal surges can cause fibroids to increase in size.

Recognizing uterine fibroids can involve several signs and symptoms. While not all women with fibroids experience symptoms, here are some common indicators:

Menstrual Changes: Fibroids can cause heavy menstrual bleeding (menorrhagia), prolonged periods, or irregular menstrual cycles. You may notice an increase in the duration or intensity of your menstrual flow.

Pelvic Pain or Pressure: You may experience pelvic discomfort, pressure, or pain, particularly during menstruation or sexual intercourse. This sensation of pressure can sometimes feel like heaviness in the pelvic region.

Frequent Urination: Fibroids pressing against the bladder can lead to increased frequency of urination or a sensation of incomplete emptying of the bladder.

Constipation or Difficulty with Bowel Movements: Fibroids pressing against the rectum can cause constipation or difficulty with bowel movements.

Abdominal Enlargement or Swelling: In some cases, large fibroids can cause the abdomen to enlarge or feel swollen, leading to a sensation of heaviness or fullness.

Back Pain: Fibroids pressing the pelvis or lower back nerves can cause back pain or discomfort.

Infertility or Pregnancy Complications: Depending on their size and location, fibroids may interfere with fertility or increase the risk of pregnancy complications, such as miscarriage or preterm labor.

If you are experiencing any of the symptoms associated with fibroids, such as heavy menstrual bleeding, pelvic pain or pressure, frequent urination or difficulty emptying your bladder, constipation, or lower back or leg pain, it is essential to consult with your healthcare provider. 

How are Fibroids Treated?

Hormone therapy to shrink the fibroid is used in cases where fibroids interfere with the patient's quality of life. The size and location of the growth help determine the next steps, which can include a myomectomy, a surgical procedure to remove fibroids or a hysterectomy, a surgical procedure to remove the uterus. At the Center for Vascular Medicine, we recommend that patients struggling with fibroids consult their gynecologist for appropriate treatment.

Could There Be a Vascular Cause of My Pelvic Symptoms?

Yes, there could be a vascular cause of pelvic heaviness symptoms. Many Americans experience daily pain and discomfort caused by chronic venous insufficiency, which happens when the blood vessels are unable to transport blood properly. Weakened valves are usually the cause, but other external factors can also contribute to it. The affected blood vessels can become swollen, painful, and twisted below the skin, resulting in varicose veins.

Pelvic Congestion Syndrome

Pelvic congestion syndrome (PCS) is a vascular disease caused by chronic venous insufficiency in the pelvis's blood vessels. Fortunately, it is highly responsive to treatment.

PCS can cause uncomfortable pressure in the lower abdomen, which worsens throughout the day as blood pools in that area. Women with PCS often experience exacerbated symptoms during or after pregnancy, menstruation, or intercourse.

Symptoms of pelvic congestion syndrome include:

Pelvic congestion syndrome (PCS) manifests with various symptoms, which may include:

• Chronic pelvic pain of a vascular origin that lasts more than 6 months and worsens with prolonged standing or sitting.
• Pain during or after sexual intercourse.
• Abnormal vaginal bleeding, such as heavy menstrual bleeding or bleeding between periods.
• Varicose veins in the vulva, vagina, or buttocks.
• Increased urinary frequency or urgency.
• Discomfort or pressure in the pelvic area is often described as a heavy or dragging sensation.
• Swelling or enlargement of the lower abdomen.
• Backache or leg discomfort, particularly in the buttocks or thighs.
• Worsening of symptoms with menstruation or hormonal changes, such as during pregnancy or menopause.

Talk to your gynecologist to rule out other pelvic-related problems regarding your symptoms. If they recommend it, speak to your vascular specialist to discuss treatment for PCS.

May-Thurner Syndrome

May-Thurner Syndrome, also known as MTS or iliac vein compression syndrome, is a relatively rare condition characterized by compression of the left common iliac vein by the overlying right common iliac artery. This anatomical anomaly can result in significant impedance of blood flow returning to the heart from the lower extremities.

Over time, this compromised circulation can predispose individuals to develop deep vein thrombosis (DVT), a potentially severe condition marked by the formation of blood clots within the deep veins, typically occurring in the legs.

Despite its potential severity, May-Thurner Syndrome often goes undiagnosed or misdiagnosed due to its nonspecific symptoms and lack of awareness among healthcare professionals. Approximately 50% of individuals with DVT are unaware of their condition, further emphasizing the importance of recognizing and addressing underlying vascular abnormalities.

Common symptoms associated with May-Thurner Syndrome and DVT include painful swelling in the affected leg or foot, warmth, tenderness to the touch, and possibly discoloration of the skin. Prompt identification and management of May-Thurner Syndrome are crucial to prevent complications such as recurrent DVT, chronic venous insufficiency, and even pulmonary embolism, a potentially life-threatening condition resulting from dislodged blood clots traveling to the lungs. 

A DVT or deep vein thrombosis is a medical emergency. If you’re experiencing the following symptoms:

• Pain or heaviness in the lower leg or calf
• The area is warm to the touch and discolored
• Trouble breathing
• Chest pains
• Disorientation

Seek medical treatment immediately.

May-Thurner Syndrome is treated non-invasively, but surgery may be necessary in advanced stages or if a DVT has formed. 

Pelvic Pain and Pressure Treatment At Center for Vascular Medicine

Navigating the complexities of pelvic pain and heaviness can be daunting, so it's crucial not to face it alone. If you're experiencing pelvic discomfort, reaching out to your gynecologist promptly is essential to address potential issues related to the female reproductive system.

Consulting a vascular specialist is advisable for further evaluation and insights in such instances.

At CVM, our commitment is to provide compassionate and cost-effective care to individuals with vascular diseases. Specializing in diagnosing and treating venous and arterial conditions affecting the legs, feet, and pelvis, our team of world-class providers offers unparalleled expertise tailored to your unique needs.

The journey typically begins with an initial consultation at one of our facilities, possibly followed by an ultrasound scan. Following a comprehensive review of your medical history and scan results, our providers will engage in a thorough discussion with you to determine the most appropriate next steps.

In our diagnostic process, we employ a range of tests to pinpoint potential vascular issues underlying your symptoms. While ultrasound is an initial noninvasive tool to assess suspicions, definitive diagnoses often require more advanced procedures such as venogram, angiogram, and intravascular ultrasound (IVUS). Prioritizing minimally invasive approaches, we always start with ultrasound before considering further evaluation. Our provider team will guide you if a procedure is recommended, offering detailed information to empower your decision-making. Schedule online for one of our New Jersey, Maryland, or Virginia locations.